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Response to Comments: Allogeneic Hematopoietic Cell Transplantation (HCT) for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin
A59289
Effective: January 5, 2022
Updated: December 31, 2025
Policy Summary
This document is a response to comments concerning allogeneic hematopoietic cell transplantation (HCT) for primary refractory or relapsed Hodgkin and non-Hodgkin lymphomas of B-cell or T-cell origin. The provided excerpt identifies the indication but does not include specific coverage criteria, exclusions, documentation requirements, or frequency limits; review of the full policy is required to determine detailed coverage rules.
Coverage Criteria Preview
Key requirements from the full policy
"Allogeneic hematopoietic cell transplantation (HCT) for primary refractory or relapsed Hodgkin lymphoma or non-Hodgkin lymphoma of B-cell or T-cell origin."
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